| Astoria Family Orthodontics | |
|
2312 31st St Astoria NY 11105-2842 | |
| (718) 278-0358 | |
| (718) 278-2908 |
| Full Name | Astoria Family Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2312 31st St, Astoria, New York |
| Authorized Official Name and Position | Robert Lopatkin (OWNER) |
| Authorized Official Contact | 7182780358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria Family Orthodontics 2312 31st St Astoria NY 11105-2842 Ph: (718) 278-0358 | Astoria Family Orthodontics 2312 31st St Astoria NY 11105-2842 Ph: (718) 278-0358 |
| NPI Number | 1891099081 |
|---|---|
| Provider Enumeration Date | 01/02/2011 |
| Last Update Date | 01/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891099081 | NPI | - | NPPES |
| 01069685 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 39158-1 (New York) | Primary |
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